Individual
DANIEL TREY TWIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 SERENITY LN, WEST MONROE, LA 71291-7086
(770) 880-7356
Mailing address
3229 HIGHWAY 34 E, NEWNAN, GA 30265-2195
(770) 703-4726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC012899
GA
106H00000X
Marriage & Family Therapist
1315
LA
106H00000X
Marriage & Family Therapist
Primary
MFT001690
GA
Other
Enumeration date
03/19/2019
Last updated
09/15/2022
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